Perceived facilitators and barriers of a co-designed financial incentive programme for smoking cessation in Ireland: a qualitative investigation

Le résumé fourni par la source

Background: Financial incentive interventions are effective in promoting smoking cessation, yet they are diverse/complex in design and face various implementation challenges. Our study examined perceived facilitators and barriers to implementation of a co-designed financial incentive intervention for smoking cessation targeting deprived communities in Ireland. Methods: Three audio-recorded co-design workshops were held in Irish communities that are nationally classified as disadvantaged. As part of a larger mixed-methods study that used a nominal group technique to co-design a financial incentive intervention for smoking cessation, we used a qualitative approach to specifically examine the potential facilitators and barriers to implementation. Applying the Theoretical Domains Framework, themes were developed to categorise facilitators and barriers, through both inductive thematic and deductive analysis using NVivo15. Results: Facilitators and barriers to implementation were identified and addressed within the following themes: 1) Providing clear programme knowledge for providers and clients 2) Programme training for staff 3) Managing increased staff workloads 4) Staff comfort with conducting health assessments and monitoring clients 5) Perceived significance of the incentive programme and future aspirations to expand it nationally 6) Strategies to reduce risks of media scrutiny 7) Availability of technological / infrastructural resources. These themes were then mapped to the following domains: 1) Knowledge 2) Skills 3) Social/Professional Role and Identity, 4) Behavioural Regulation 5) Optimism 6) Goals 7) Beliefs about Consequences 8) Environmental Context and Resources. Conclusion: Potential facilitators and barriers to designing and implementing the incentive intervention were identified prior to commencement of the intervention, informing subsequent pilot implementation.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.